Individual provider Active NPI

Evelyn Bailey, APN

  • Adult Health Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1467787382
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0024189235 Issued in VA
Practice address
236 Clearfield Ave Ste 215
Virginia Beach, VA 23462-1893
Phone
(757) 853-1380
NPI assigned
Oct 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00223800 NJ
Family Nurse Practitioner 363LF0000X 0024189235 VA
Adult Health Nurse Practitioner 363LA2200X 0024189235 VA Primary

Addresses

Primary practice location

236 Clearfield Ave Ste 215
Virginia Beach, VA 23462-1893

Mailing address

PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295
Phone (248) 266-4200

Other practice location 1

510 Hamburg Tpk ste 101
Wayne, NJ 07470
Phone (973) 653-9485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240416000099 VA Practitioner - Nurse Practitioner 2567590458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2901 S Lynnhaven Rd
Suite 450
Virginia Beach, VA 23452-8524

Hospital & facility affiliations

  • At Home Care Home health agency, Williamsburg, VA, CCN 497600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024189235VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Care LLC Nurse Practitioner CurrentSince Mar 1, 2025 Accepting new patients
Vpa PC CurrentSince May 1, 2024 Accepting new patients
Legacy Care Aco LLC Nurse Practitioner CurrentSince Mar 1, 2025 Accepting new patients
Vpa PC CurrentSince May 1, 2024 Accepting new patients

Locations

7600 Autumn Park Way
Mechanicsvlle, VA 23116
Phone (804) 730-0009

236 Clearfield Ave
Ste 215
Virginia Beach, VA 23462
Phone (757) 561-2800

123 S Lynnhaven Rd
Ste 102
Virginia Beach, VA 23452

780 Lynnhaven Pkwy
Ste 400
Virginia Beach, VA 23452
Phone (201) 581-3411

2901 S Lynnhaven Rd
Ste 450
Virginia Beach, VA 23452
Phone (757) 351-4585

2133 Upton Dr
Ste 126
Virginia Beach, VA 23454

263 McLaws Cir
Ste 105
Williamsburg, VA 23185
Phone (757) 645-0831

1235 S Mount Vernon Ave
Williamsburg, VA 23185
Phone (757) 208-7110

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1467787382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 DEPT 93394",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "248-266-4200",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 CLEARFIELD AVE STE 215",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621893",
            "telephone_number": "757-853-1380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Hamburg Tpk ste 101",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "NJ",
            "postal_code": "07470",
            "country_code": "US",
            "telephone_number": "973-653-9485",
            "fax_number": "973-942-6009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "EVELYN",
        "name_prefix": "Miss",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00223800",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024189235",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024189235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.